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Hypoperfusion Complex
Michael R. Aquino, MD, MHSc
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Abbreviations

            • Hypoperfusion complex (HC)
          • Synonyms

            • Shock bowel
            • Shock abdomen
            • Hypovolemic shock complex
            • Hypotension complex
          • Definitions

            • Constellation of CT findings indicative of compensated shock

          IMAGING

          • CT Findings

            • Ultrasonographic Findings

              • Imaging Recommendations

                DIFFERENTIAL DIAGNOSIS

                  PATHOLOGY

                  • General Features

                    CLINICAL ISSUES

                    • Presentation

                      • Demographics

                        • Natural History & Prognosis

                          • Treatment

                            DIAGNOSTIC CHECKLIST

                            • Consider

                              Selected References

                              1. Higashi H et al: Traumatic hypovolemic shock revisited: the spectrum of contrast-enhanced abdominal computed tomography findings and clinical implications for its management. Jpn J Radiol. 32(10):579-84, 2014
                              2. Higashi H et al: Hypovolemic shock complex: does the pancreatic perfusion increase or decrease at contrast-enhanced dynamic CT? Clin Imaging. 38(1):31-4, 2014
                              3. Sheybani EF et al: Pediatric nonaccidental abdominal trauma: what the radiologist should know. Radiographics. 34(1):139-53, 2014
                              4. Wang J et al: Hypovolemic shock complex in the trauma setting: a pictorial review. Can Assoc Radiol J. 64(2):156-63, 2013
                              5. Prasad KR et al: CT in post-traumatic hypoperfusion complex--a pictorial review. Emerg Radiol. 18(2):139-43, 2011
                              6. Ito K et al: Adrenal glands in hypovolemic shock: preservation of contrast enhancement at dynamic computed tomography. J Comput Assist Tomogr. 34(4):513-6, 2010
                              7. Ames JT et al: CT hypotension complex (shock bowel) is not always due to traumatic hypovolemic shock. AJR Am J Roentgenol. 192(5):W230-5, 2009
                              8. Ryan MF et al: The halo sign and peripancreatic fluid: useful CT signs of hypovolaemic shock complex in adults. Clin Radiol. 60(5):599-607, 2005
                              9. O'Hara SM et al: Intense contrast enhancement of the adrenal glands: another abdominal CT finding associated with hypoperfusion complex in children. AJR Am J Roentgenol. 173(4):995-7, 1999
                              10. Strouse PJ et al: CT of bowel and mesenteric trauma in children. Radiographics. 19(5):1237-50, 1999
                              11. Levine CD et al: CT in patients with blunt abdominal trauma: clinical significance of intraperitoneal fluid detected on a scan with otherwise normal findings. AJR Am J Roentgenol. 164(6):1381-5, 1995
                              12. Mirvis SE et al: Diffuse small-bowel ischemia in hypotensive adults after blunt trauma (shock bowel): CT findings and clinical significance. AJR Am J Roentgenol. 163(6):1375-9, 1994
                              13. Sivit CJ et al: CT in children with rupture of the bowel caused by blunt trauma: diagnostic efficacy and comparison with hypoperfusion complex. AJR Am J Roentgenol. 163(5):1195-8, 1994
                              14. Sivit CJ et al: Posttraumatic shock in children: CT findings associated with hemodynamic instability. Radiology. 182(3):723-6, 1992
                              15. Jeffrey RB Jr et al: The collapsed inferior vena cava: CT evidence of hypovolemia. AJR Am J Roentgenol. 150(2):431-2, 1988
                              16. Taylor GA et al: Hypovolemic shock in children: abdominal CT manifestations. Radiology. 164(2):479-81, 1987
                              Related Anatomy
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                              Related Differential Diagnoses
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                              References
                              Tables

                              Tables

                              KEY FACTS

                              • Terminology

                                • Imaging

                                  • Pathology

                                    • Clinical Issues

                                      TERMINOLOGY

                                      • Abbreviations

                                        • Hypoperfusion complex (HC)
                                      • Synonyms

                                        • Shock bowel
                                        • Shock abdomen
                                        • Hypovolemic shock complex
                                        • Hypotension complex
                                      • Definitions

                                        • Constellation of CT findings indicative of compensated shock

                                      IMAGING

                                      • CT Findings

                                        • Ultrasonographic Findings

                                          • Imaging Recommendations

                                            DIFFERENTIAL DIAGNOSIS

                                              PATHOLOGY

                                              • General Features

                                                CLINICAL ISSUES

                                                • Presentation

                                                  • Demographics

                                                    • Natural History & Prognosis

                                                      • Treatment

                                                        DIAGNOSTIC CHECKLIST

                                                        • Consider

                                                          Selected References

                                                          1. Higashi H et al: Traumatic hypovolemic shock revisited: the spectrum of contrast-enhanced abdominal computed tomography findings and clinical implications for its management. Jpn J Radiol. 32(10):579-84, 2014
                                                          2. Higashi H et al: Hypovolemic shock complex: does the pancreatic perfusion increase or decrease at contrast-enhanced dynamic CT? Clin Imaging. 38(1):31-4, 2014
                                                          3. Sheybani EF et al: Pediatric nonaccidental abdominal trauma: what the radiologist should know. Radiographics. 34(1):139-53, 2014
                                                          4. Wang J et al: Hypovolemic shock complex in the trauma setting: a pictorial review. Can Assoc Radiol J. 64(2):156-63, 2013
                                                          5. Prasad KR et al: CT in post-traumatic hypoperfusion complex--a pictorial review. Emerg Radiol. 18(2):139-43, 2011
                                                          6. Ito K et al: Adrenal glands in hypovolemic shock: preservation of contrast enhancement at dynamic computed tomography. J Comput Assist Tomogr. 34(4):513-6, 2010
                                                          7. Ames JT et al: CT hypotension complex (shock bowel) is not always due to traumatic hypovolemic shock. AJR Am J Roentgenol. 192(5):W230-5, 2009
                                                          8. Ryan MF et al: The halo sign and peripancreatic fluid: useful CT signs of hypovolaemic shock complex in adults. Clin Radiol. 60(5):599-607, 2005
                                                          9. O'Hara SM et al: Intense contrast enhancement of the adrenal glands: another abdominal CT finding associated with hypoperfusion complex in children. AJR Am J Roentgenol. 173(4):995-7, 1999
                                                          10. Strouse PJ et al: CT of bowel and mesenteric trauma in children. Radiographics. 19(5):1237-50, 1999
                                                          11. Levine CD et al: CT in patients with blunt abdominal trauma: clinical significance of intraperitoneal fluid detected on a scan with otherwise normal findings. AJR Am J Roentgenol. 164(6):1381-5, 1995
                                                          12. Mirvis SE et al: Diffuse small-bowel ischemia in hypotensive adults after blunt trauma (shock bowel): CT findings and clinical significance. AJR Am J Roentgenol. 163(6):1375-9, 1994
                                                          13. Sivit CJ et al: CT in children with rupture of the bowel caused by blunt trauma: diagnostic efficacy and comparison with hypoperfusion complex. AJR Am J Roentgenol. 163(5):1195-8, 1994
                                                          14. Sivit CJ et al: Posttraumatic shock in children: CT findings associated with hemodynamic instability. Radiology. 182(3):723-6, 1992
                                                          15. Jeffrey RB Jr et al: The collapsed inferior vena cava: CT evidence of hypovolemia. AJR Am J Roentgenol. 150(2):431-2, 1988
                                                          16. Taylor GA et al: Hypovolemic shock in children: abdominal CT manifestations. Radiology. 164(2):479-81, 1987